Fractures of the ulnar styloid in young adults: to fix or not?

In this study, 44 cases of fracture base of the ulnar styloid were treated by open reduction and internal fixation using tension band wiring. 68% of the cases were associated with unstable distal radius fracture. In 10% of the cases, the ulnar styloid fracture was isolated; in 11% of the cases, it was associated with carpal injuries, fractures and or dislocation as well as 11% were associated with Galeazzi fracture. The assessment of stability of the distal radio-ulnar joint was tested after fixation, during surgery. An additional percutaneous fixation of distal radio ulnar joint [DRUJ] by KW was done in four cases. The results were encouraging, 85% of the patients had painless free range of supination-pronation. A residual prominence of the ulnar head was observed in two cases

Compression triple fusion using screws fixation

Fourteen patients complaining of painful and/or deformed foot resistant to conservative management treated by using triple fusion were included in this study aiming to evaluate the results of the efficiency of double approach exposure and compression internal fixation in improving the results of triple fusion. Ten feet had peroneal spastic foot, three had post traumatic arthritis and one had unstable paralytic foot. All were treated using medial and lateral exposure and rigid internal fixation. After a mean follow up period of 19 months, pain, gait, walking ability of the patients were improved in all but one patients. Triple fusion is a good salvage option for the treatment of resistant painful foot, if proper surgical technique is followed